HL7 Europe Hospital Discharge Report
1.0.0-alpha - qa-preview 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-alpha built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

## Resource Profile: DeviceUseStatement: obligations

Official URL: http://hl7.eu/fhir/hdr/StructureDefinition/deviceUseStatement-obl-eu-hdr | Version: 1.0.0-alpha
Standards status: Informative | Maturity Level: 0 | Computable Name: DeviceUseStatementEuHdrObligation
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

This profile represents the constraints applied to the DeviceUseStatement resource for the purpose of this guide. A device used by or implanted on the patient is described in the hospital discharge report as an instance of a Device resource constrained by this profile.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  | 0..* | DeviceUseStatementEuHdr | Record of use of a device
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | O | 0..1 | Narrative | Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | Current status of the Device Usage Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject | O Σ | 1..1 | Reference(Patient (EU core)) | Patient using device
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for timing[x] | O Σ | 1..1 |  | How often the device was used Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
timingTiming |  |  | Timing |
timingPeriod |  |  | Period |
timingDateTime |  |  | dateTime |
timing[x]:timingPeriod | Σ | 0..1 | Period | How often the device was used
device | O Σ | 1..1 | Reference(Device (HDR)) | Reference to device used
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
reasonCode | O Σ | 0..* | CodeableConcept | Why is used (code)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
bodySite | O Σ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (preferred)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std.
DeviceUseStatement.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DeviceUseStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from DeviceUseStatementEuHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  | 0..* | DeviceUseStatementEuHdr | Record of use of a device
text | O | 0..1 | Narrative | Device usage description
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
subject | O | 1..1 | Reference(Patient (EU core)) | Patient using device
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
timing[x] | O | 1..1 | Timing, Period, dateTime | How often the device was used
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
device | O | 1..1 | Reference(Device (HDR)) | Reference to device used
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
reasonCode | O | 0..* | CodeableConcept | Why is used (code)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
bodySite | O | 0..1 | CodeableConcept | Target body site
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  | 0..* | DeviceUseStatementEuHdr | Record of use of a device
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text | O | 0..1 | Narrative | Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Device usage identifier
basedOn | Σ | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order
status | ?!Σ | 1..1 | code | Current status of the Device Usage Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject | O Σ | 1..1 | Reference(Patient (EU core)) | Patient using device
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
derivedFrom | Σ | 0..* | Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) | Supporting information
Slices for timing[x] | O Σ | 1..1 |  | How often the device was used Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
timingTiming |  |  | Timing |
timingPeriod |  |  | Period |
timingDateTime |  |  | dateTime |
timing[x]:timingPeriod | Σ | 0..1 | Period | How often the device was used
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | Σ C | 0..1 | dateTime | Start of usage (dateTime)
end | Σ C | 0..1 | dateTime | End of usage (dateTime)
recordedOn | Σ | 0..1 | dateTime | When recorded (dateTime)
source | Σ | 0..1 | Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | RelatedPerson) | Who made the statement
device | O Σ | 1..1 | Reference(Device (HDR)) | Reference to device used
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
reasonCode | O Σ | 0..* | CodeableConcept | Why is used (code)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media) | Why is used (details)
bodySite | O Σ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (preferred)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
note |  | 0..* | Annotation | Additional information about the device usage
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DeviceUseStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std.
DeviceUseStatement.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
DeviceUseStatement.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DeviceUseStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from DeviceUseStatementEuHdr

Summary

Maturity: 0

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  | 0..* | DeviceUseStatementEuHdr | Record of use of a device
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
text | O | 0..1 | Narrative | Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | Current status of the Device Usage Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject | O Σ | 1..1 | Reference(Patient (EU core)) | Patient using device
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
Slices for timing[x] | O Σ | 1..1 |  | How often the device was used Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
timingTiming |  |  | Timing |
timingPeriod |  |  | Period |
timingDateTime |  |  | dateTime |
timing[x]:timingPeriod | Σ | 0..1 | Period | How often the device was used
device | O Σ | 1..1 | Reference(Device (HDR)) | Reference to device used
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
reasonCode | O Σ | 0..* | CodeableConcept | Why is used (code)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
bodySite | O Σ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (preferred)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std.
DeviceUseStatement.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DeviceUseStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from DeviceUseStatementEuHdr

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  | 0..* | DeviceUseStatementEuHdr | Record of use of a device
text | O | 0..1 | Narrative | Device usage description
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
subject | O | 1..1 | Reference(Patient (EU core)) | Patient using device
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
timing[x] | O | 1..1 | Timing, Period, dateTime | How often the device was used
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
device | O | 1..1 | Reference(Device (HDR)) | Reference to device used
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
reasonCode | O | 0..* | CodeableConcept | Why is used (code)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
bodySite | O | 0..1 | CodeableConcept | Target body site
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
DeviceUseStatement |  | 0..* | DeviceUseStatementEuHdr | Record of use of a device
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text | O | 0..1 | Narrative | Device usage description This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Device usage identifier
basedOn | Σ | 0..* | Reference(ServiceRequest) | Fulfills plan, proposal or order
status | ?!Σ | 1..1 | code | Current status of the Device Usage Binding: DeviceUseStatementStatus (required): A coded concept indicating the current status of the Device Usage.
subject | O Σ | 1..1 | Reference(Patient (EU core)) | Patient using device
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
derivedFrom | Σ | 0..* | Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference) | Supporting information
Slices for timing[x] | O Σ | 1..1 |  | How often the device was used Slice: Unordered, Closed by type:$this
Obligations | Actor
SHALL:handle | HDRConsumer
SHALL:able-to-populate | HDRCreator
timingTiming |  |  | Timing |
timingPeriod |  |  | Period |
timingDateTime |  |  | dateTime |
timing[x]:timingPeriod | Σ | 0..1 | Period | How often the device was used
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
start | Σ C | 0..1 | dateTime | Start of usage (dateTime)
end | Σ C | 0..1 | dateTime | End of usage (dateTime)
recordedOn | Σ | 0..1 | dateTime | When recorded (dateTime)
source | Σ | 0..1 | Reference(Patient (EU core) | Practitioner (EU core) | PractitionerRole (EU core) | RelatedPerson) | Who made the statement
device | O Σ | 1..1 | Reference(Device (HDR)) | Reference to device used
Obligations | Actor
SHALL:handle | HDRConsumer
SHOULD:able-to-populate | HDRCreator
reasonCode | O Σ | 0..* | CodeableConcept | Why is used (code)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
reasonReference | Σ | 0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media) | Why is used (details)
bodySite | O Σ | 0..1 | CodeableConcept | Target body site Binding: SNOMEDCTBodyStructures (preferred)
Obligations | Actor
SHALL:handle | HDRConsumer
MAY:able-to-populate | HDRCreator
note |  | 0..* | Annotation | Additional information about the device usage
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
DeviceUseStatement.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
DeviceUseStatement.status | Base | required | DeviceUseStatementStatus | 📍4.0.1 | FHIR Std.
DeviceUseStatement.subject.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
DeviceUseStatement.bodySite | Base | preferred | SNOMED CT Body Structures | 📦4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | DeviceUseStatement | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | DeviceUseStatement | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | DeviceUseStatement | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from DeviceUseStatementEuHdr

Summary

Maturity: 0

Other representations of profile: CSV, Excel, Schematron